MEDICARE: MISS EMILY SWOGGER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT.008584	OH

General Provider Information

NPI Number	:	1134544406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS EMILY SWOGGER OTR/L

Provider Business Mailing Address
First Line	:	150 N MILLER RD STE 150A
Second Line	:
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-3713
Country	:	US
Telephone Number	:	330-630-1860
Fax Number	:	330-630-3198

Provider Business Practice Location Address
First Line	:	1750 FM 967 # A
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-2884
Country	:	US
Telephone Number	:	512-295-2273
Fax Number	:	512-295-2280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2014
Last Update Date	:	11/06/2019

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Directions to “ MISS EMILY SWOGGER OTR/L” Practice Location

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